| NPI | 1447447313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH SHAH Doctor 813-929-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME81346) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2012-08-31 |